How much rates vary
Facilitymedian $174 · 10th to 90th $95 to $1,318Professionalmedian $251 · 10th to 90th $166 to $479
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $251.19 | Professional | None | $165.96 | $251.19 | $251.19 |
Cigna Setting Professional Modifier None Typical Low $165.96 Median $165.96 Typical High $165.96 | Professional | None | $165.96 | $165.96 | $165.96 |
Kaiser Permanente Setting Professional Modifier None Typical Low $354.81 Median $426.58 Typical High $549.54 | Professional | None | $354.81 | $426.58 | $549.54 |
Moda Health Setting Facility Modifier None Typical Low $354.81 Median $912.01 Typical High $977.24 | Facility | None | $354.81 | $912.01 | $977.24 |
Moda Health Setting Professional Modifier None Typical Low $165.96 Median $251.19 Typical High $251.19 | Professional | None | $165.96 | $251.19 | $251.19 |
Pacific Source Setting Facility Modifier None Typical Low $95.50 Median $158.49 Typical High $173.78 | Facility | None | $95.50 | $158.49 | $173.78 |
Providence Setting Facility Modifier None Typical Low $281.84 Median $407.38 Typical High $1,659,586.91 | Facility | None | $281.84 | $407.38 | $1,659,586.91 |
Providence Setting Professional Modifier None Typical Low $79.43 Median $165.96 Typical High $562.34 | Professional | None | $79.43 | $165.96 | $562.34 |
Regence BlueShield Setting Facility Modifier None Typical Low $912.01 Median $1,174.90 Typical High $1,445.44 | Facility | None | $912.01 | $1,174.90 | $1,445.44 |
Regence BlueShield Setting Professional Modifier None Typical Low $309.03 Median $323.59 Typical High $478.63 | Professional | None | $309.03 | $323.59 | $478.63 |
United Setting Facility Modifier None Typical Low $1,047.13 Median $1,318.26 Typical High $1,621.81 | Facility | None | $1,047.13 | $1,318.26 | $1,621.81 |
United Setting Professional Modifier None Typical Low $257.04 Median $331.13 Typical High $537.03 | Professional | None | $257.04 | $331.13 | $537.03 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $104.71 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $104.71 | $125.89 | $125.89 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $41.69 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $41.69 | $50.12 | $50.12 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $31.62 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $31.62 | $37.15 | $37.15 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $20.89 Median $25.12 Typical High $25.12 | Professional | 56 · Pre-op care only | $20.89 | $25.12 | $25.12 |
Moda Health Setting Professional Modifier 52 · Reduced service Typical Low $120.23 Median $125.89 Typical High $125.89 | Professional | 52 · Reduced service | $120.23 | $125.89 | $125.89 |
Moda Health Setting Professional Modifier 53 · Discontinued Typical Low $47.86 Median $50.12 Typical High $50.12 | Professional | 53 · Discontinued | $47.86 | $50.12 | $50.12 |
Moda Health Setting Professional Modifier 55 · Aftercare only Typical Low $36.31 Median $37.15 Typical High $37.15 | Professional | 55 · Aftercare only | $36.31 | $37.15 | $37.15 |
Moda Health Setting Professional Modifier 56 · Pre-op care only Typical Low $23.99 Median $25.12 Typical High $25.12 | Professional | 56 · Pre-op care only | $23.99 | $25.12 | $25.12 |
Where Oregon sits
The same service costs 3.2 times more in Alaska than in Connecticut. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Oregon· 13th of 51
$251
AK $501CT $158
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.